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Headquarters U.S. Air Force
Integrity - Service - Excellence



          Total Force Pathways to
                 Global Healthcare



                            Lt Gen C. Bruce Green
                                 Surgeon General
                                       5 Nov 2011




                                                    1
CAF/MAF Improvement
                                                                                           Immediate
                                                                                            < 20 min
                                                                                               ER
                                                                                             < 2 hrs
T+0 hrs                                                                   T+3 hrs
                                                                                            OR & ICU
                                                                                             < 3 hrs
                       EMEDS Health Response Team a Reality!




           Self-Aid    Combat Medics     Forward       In Theater Care   Definitive Care
          Buddy Care   Navy Corpsmen   Resuscitative   Rehab/Recovery    Home w/Family
                                          Care         AF Theater Hosp      SAMMC




     Expeditionary g r i t y - S e r v i c e - E x c e l l to Save Lives!
              I n t e Operations           Evolving e n c e
Generating Knowledge
        PRIMARY CARE 2025: A Scenario Exploration of Forces,
     Challenges, and Opportunities Shaping Primary Care in the U.S.

     GENOMIC MEDICINE: An Active Consortium of Government,
       Academic, and Industry Leaders in the Field of Genomic
       Medicine Providing Expert Direction for PC2Z Program

          DOD/VA iEHR and GOVERNMENT HIE SUMMIT:
           Establishing a Common Roadmap for Today,
                    Tomorrow, and the Future

    OPEN SOURCE SOFTWARE of the MILITARY HEALTH SYSTEM:
           A Product Lifecycle Management Workshop

   VETERANS AFFAIRS ROUNDTABLE: Future Performance Metrics to
   Assess Population Health, Patient Experience, and Healthcare Value

               USU-HJF Military Medicine Symposium:
        The TBI Spectrum, Challenges, Initiatives, & Prevention


Collaborating to Shape the Future of Healthcare
         Integrity - Service - Excellence                               3
Flight Surgeon Updates
Current manning 81%, functional manning 66% (deployments)
   Projected 85% in Fall 2012
USUHS Initiatives:
   Strongly encouraging AF USUHS students complete AMP 101
   Encouraging students; AMP 201-202 as 4th year elective
   Setting up USUHS student “Senior Mentors” with RAMS in NCA
HPSP Initiatives:
   Developing FSO specific “clinical” rotations at large ops bases
   Streamline Training Affiliation Agreements (TAA) for civ HPSP
   Pushing AMP 101 for All HPSP
Other Initiatives:
   Facilitate split deployments of 90 days/less for ARC

              Integrity - Service - Excellence                       4
Flight Nurse Training



              7 Days            SERE B-Level Training
                                20 Days                        10 Days             42 Days
   Pre-requisite                 FN/AET                       Flt Upgrade           Mission
   4NO 5-level                School House                        FTU               Ready
       46N3

                                    Course I
                                   AE Basics
                                     10 days
                                                                                 Program Gains
                   Altitude
                   Chamber
                                       Course II                       Standard, seamless training
                                     Equip/AC Revw
                   2 days                 5 days                     w/controlled length/flexible curriculum
                                                Course III
                                                                       Decreased TDY costs
                                               Mission Prep            Single agency for instruction,
                                                  5 days
                                                                     staffing & equipping
Reduced Training Time by 125+ Days

                       Integrity - Service - Excellence
ARC Issues
                              How are We Doing?

TFI Occupational Support
Director of Psychological Health
Mission Transitions – DOMOPS
IDES & Continuity Medical Cell
HSI Transitions – Limited Scope Facilities
TBI, PTSD, Suicides



AFMS Vision: World-Class Healthcare Anywhere, Anytime
             Integrity - Service - Excellence           6
“TRUSTED CARE ANYWHERE”




          Integrity - Service - Excellence

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AMSUS SMOG Nov 2011

  • 1. Headquarters U.S. Air Force Integrity - Service - Excellence Total Force Pathways to Global Healthcare Lt Gen C. Bruce Green Surgeon General 5 Nov 2011 1
  • 2. CAF/MAF Improvement Immediate < 20 min ER < 2 hrs T+0 hrs T+3 hrs OR & ICU < 3 hrs EMEDS Health Response Team a Reality! Self-Aid Combat Medics Forward In Theater Care Definitive Care Buddy Care Navy Corpsmen Resuscitative Rehab/Recovery Home w/Family Care AF Theater Hosp SAMMC Expeditionary g r i t y - S e r v i c e - E x c e l l to Save Lives! I n t e Operations Evolving e n c e
  • 3. Generating Knowledge PRIMARY CARE 2025: A Scenario Exploration of Forces, Challenges, and Opportunities Shaping Primary Care in the U.S. GENOMIC MEDICINE: An Active Consortium of Government, Academic, and Industry Leaders in the Field of Genomic Medicine Providing Expert Direction for PC2Z Program DOD/VA iEHR and GOVERNMENT HIE SUMMIT: Establishing a Common Roadmap for Today, Tomorrow, and the Future OPEN SOURCE SOFTWARE of the MILITARY HEALTH SYSTEM: A Product Lifecycle Management Workshop VETERANS AFFAIRS ROUNDTABLE: Future Performance Metrics to Assess Population Health, Patient Experience, and Healthcare Value USU-HJF Military Medicine Symposium: The TBI Spectrum, Challenges, Initiatives, & Prevention Collaborating to Shape the Future of Healthcare Integrity - Service - Excellence 3
  • 4. Flight Surgeon Updates Current manning 81%, functional manning 66% (deployments) Projected 85% in Fall 2012 USUHS Initiatives: Strongly encouraging AF USUHS students complete AMP 101 Encouraging students; AMP 201-202 as 4th year elective Setting up USUHS student “Senior Mentors” with RAMS in NCA HPSP Initiatives: Developing FSO specific “clinical” rotations at large ops bases Streamline Training Affiliation Agreements (TAA) for civ HPSP Pushing AMP 101 for All HPSP Other Initiatives: Facilitate split deployments of 90 days/less for ARC Integrity - Service - Excellence 4
  • 5. Flight Nurse Training 7 Days SERE B-Level Training 20 Days 10 Days 42 Days Pre-requisite FN/AET Flt Upgrade Mission 4NO 5-level School House FTU Ready 46N3 Course I AE Basics 10 days Program Gains Altitude Chamber Course II Standard, seamless training Equip/AC Revw 2 days 5 days w/controlled length/flexible curriculum Course III Decreased TDY costs Mission Prep Single agency for instruction, 5 days staffing & equipping Reduced Training Time by 125+ Days Integrity - Service - Excellence
  • 6. ARC Issues How are We Doing? TFI Occupational Support Director of Psychological Health Mission Transitions – DOMOPS IDES & Continuity Medical Cell HSI Transitions – Limited Scope Facilities TBI, PTSD, Suicides AFMS Vision: World-Class Healthcare Anywhere, Anytime Integrity - Service - Excellence 6
  • 7. “TRUSTED CARE ANYWHERE” Integrity - Service - Excellence